Green Tree Residence

Allegation investigated: Licensee convinced resident to sign over all his asset and money prior to residents death.

On 8/12/2026, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to deliver the findings of the above allegation. LPA explained the purpose of the visit to caregiver Maria Ventress. The investigation consisted of interviews with staff and record review as well as observation. Allegation: Licensee convinced resident to sign over all his assets and money prior to the resident’s death. - LPA initiated an investigation into the above allegation concerning Resident #1 (R1), who passed away at the facility on 4/21/2023 while under hospice care. LPA interviewed facility representatives and reviewed resident records maintained by the facility. LPA requested information related to body disposition, estate documents, personal financial records, probate involvement, and any indication of facility involvement in resident asset transfer. Based on interviews and review of facility records, LPA found no evidence indicating the licensee or facility staff convinced R1 to sign over R1's assets or money prior to R1's death. Facility records show R1 was responsible for R1's own financial affairs, and the facility did not retain or administer any estate or asset documentation. At this time, the allegation is unsubstantiated, as there is insufficient evidence to support that the licensee engaged in financial exploitation of the resident. *** Continuation in LIC9099C *** Unsubstantiated Based on interviews and record review, the allegation mentioned above is UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted where this report, LIC9099 and LIC9099C were discussed and provided to caregiver Maria Ventress.the state’s words, verbatim · CDSS document, Aug 12, 2026 · control 56-AS-20260428144402

Type of visit: Required - 1 Year

On 11/4/2025 at 12:05 PM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with Caregiver Maria Ventress and was granted entry to the facility. At the time of the visit there was one (1) staff present, and one (1) resident present. The facility is a three (3) bedrooms, two (2) bathroom home with a kitchen/dining area, living room/activity room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of six (6) of which five (5) can be non-ambulatory, two (2) hospice care waiver and one (1)bedridden and the current census is one (1) resident. LPA was accompanied by a staff to conduct a general overall inspection, which included, but was not limited to the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 74 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with the required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathroom to be at 117.8 degrees Fahrenheit. The facility is equipped with operating smoke detectors alarms. LPA observed that the facility does not have the carbon monoxide detector. Citation issued. Fire extinguisher was also observed at the facility. Posters such as personal rights, the CCLD complaint poster, and the emergency contact number were posted in a common area. ***Continuation in LIC809C *** Cleaning supplies, toxins, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. There is a Medicine closet that is locked inaccessible to residents in care. LPA observed first aid kit at the facility. LPA observed that the facility does not have the first aid manual. Technical violation issued. LPA observed that the knives were in the kitchen drawer not locked. Citation issued. Yards/Outside: Two shaded patio, one (1) side gate with self-latching handle on the left side of the house that leads into the backyard, attached two (2) car garage observed. All outdoor pathways were free of obstructions. Food Service: Seven (7) days’ supply of Non-perishable foods and two (2) days’ supply of perishable food supply were observed and sufficient for the number of residents in care. LPA observed that the facility have the 72 hour emergency food and water. Care & Supervision: The facility has sufficient number of staff to provide care and supervision to the residents in care. Record Review: LPA reviewed one (1) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPA observed resident #1 (R1) does not have the physician report, pre-placement appraisal and needs and services plan. Citation issued. LPA reviewed two (2) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA observed that staff#2 (S2) does not have a health screening report that showed the chest x-ray results and S2 does not have an updated CPR/first aid training. Citation issued. Based on the observations made during today’s visit, seven (7) deficiencies and one technical violation were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report LIC809, LIC809D forms, and Appeal Rights were discussed and provided to caregiver Maria Ventress.the state’s words, verbatim · CDSS document, Nov 4, 2025

The state marks this report as 8 pages; the online copy we transcribed has 7. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 11/04/24, Licensing Program Analyst (LPA) Eldin Serrano arrived unannounced to conduct the required annual visit to the facility. LPA met with Staff, Maria Ventress and introduced self and stated purpose of the visit. LPA was informed that there are no residents in the facility. The facility has 3 bedrooms, 2 bathrooms, kitchen, 2 dining areas, living room, laundry, backyard, and attached garage. LPA completed a walk through of facility and review of records. Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 74 degrees fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. LPA observed missing grab bars in the bathroom. Citation will be issued. Water temperatures tested at 116.6 degrees fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms, and first aid kit. Posters such as; the facility license, ombudsman and CCL complaint poster were posted in a common area. Cleaning supplies, toxins, and other dangerous items were kept locked in the garage and inaccessible. There was a designated storage space for resident/staff files. There is a locked closet in the hallway that is used for medication storage and sharp items. There is no swimming pool, bodies of water, firearms or ammunition in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions. Food Service: Non-perishable and perishable food supply is sufficient. Facility has a wide variety of food available. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, side gate with self-latching handle on the left side of the house that leads into the backyard. All outdoor pathways were free of obstructions. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed administrator file for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA observed an expired administrator's certificate and first aid/cpr certification. Citation will be issued. LPA wasn't able to inspect the Infection Control Plan, Emergency Disaster Plan, fire drills and liability insurance due to staff not having access. . Citations were issued during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D and Appeal Rights were discussed and copies were provided to staff, Maria P Ventress.the state’s words, verbatim · CDSS document, Nov 4, 2024

Type of visit: Required - 1 Year

On 01/11/24, Licensing Program Analyst (LPA) Michelle Echeverria arrived unannounced to conduct the required annual visit to the facility. LPA met with Staff, Maria P Ventress and introduced self and stated purpose of the visit. LPA was informed that there are no residents in the facility. The facility has 3 bedrooms, 2 bathrooms, kitchen, 2 dining areas, living room, laundry, backyard, and attached garage. LPA completed a walk through of facility and review of records. Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 73 degrees fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. LPA observed missing rails in the bathroom. Technical violation issued. Water temperatures tested at 113.2 degrees fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms, and first aid kit. Posters such as; the facility license, ombudsman and CCL complaint poster were posted in a common area. LPA observed the personal rights poster missing. Technical violation issued. Cleaning supplies, toxins, sharps, and other dangerous items were kept locked and inaccessible. There was a designated storage space for resident/staff files. There is a locked closet in the hallway that is used for medication storage. There is no swimming pool, bodies of water, firearms or ammunition in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions. Food Service: Non-perishable and perishable food supply is sufficient. Facility has a wide variety of food available. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, side gate with self-latching handle on the left side of the house that leads into the backyard. All outdoor pathways were free of obstructions. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed administrator file for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA observed an expired administrator's certificate and first aid/cpr certification. Technical violations issued. LPA wasn't able to inspect the resident files, Infection Control Plan, Emergency Disaster Plan, fire drills and liability insurance due to staff not having access. Technical violations issued. Technical violations were cited during this visit. An exit interview was conducted where this report LIC809, LIC809C and LIC9102TV were discussed and copies were provided to staff, Maria P Ventress.the state’s words, verbatim · CDSS document, Jan 11, 2024

The state marks this report as 10 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.